Endocrinology Vol. 140, No. 2 865-870
Copyright © 1999 by The Endocrine Society
Inhibition of Stimulated Amylase Secretion by Adrenomedullin in Rat Pancreatic Acini
Tomohiro Tsuchida,
Hirohide Ohnishi,
Yuji Tanaka,
Tetsuya Mine and
Toshiro Fujita
Fourth Department of Internal Medicine, University of Tokyo School
of Medicine, Tokyo 112-8688, Japan
Address all correspondence and requests for reprints to: Dr. Hirohide Ohnishi, M.D., Ph.D., Fourth Department of Internal Medicine, University of Tokyo School of Medicine, 328-6 Mejirodai, Bunkyo-ku, Tokyo 112-8688, Japan. E-mail: hohnishi-tky{at}umin.ac.jp
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Abstract
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Adrenomedullin is a novel hypotensive peptide originally isolated from
human pheochromocytoma and recently localized to PP cells of the
pancreatic islets of Langerhans. Based on the pancreatic islet-acinar
axis model, we investigated the effect of adrenomedullin on regulated
exocytosis of exocrine pancreas. Using rat
[125I]adrenomedullin, specific binding sites were
localized to rat pancreatic acini. We next examined the effect of
adrenomedullin on 100 pM cholecystokinin (CCK)-stimulated
amylase release from pancreatic acini. Adrenomedullin inhibited amylase
secretion in a dose-dependent manner by approximately 50% at maximum,
and the IC50 was 1.1 pM. However,
adrenomedullin did not affect rat [125I]CCK binding to
isolated acini or reduce the intracellular free Ca2+
concentration increased by CCK. Adrenomedullin also inhibited amylase
secretion induced by 1 µM calcium ionophore A23187,
suggesting that adrenomedullin inhibits stimulated amylase secretion by
functioning at a step(s) distal to the ligand-receptor binding system
and intracellular calcium mobilizing mechanism. In streptolysin-O
permeabilized acini, 10 nM adrenomedullin shifted the
calcium dose-response curve to the right, indicating that
adrenomedullin inhibits calcium-induced amylase secretion by reducing
calcium sensitivity of the pancreatic exocytotic machinery. In
addition, pretreatment of pancreatic acini with pertussis toxin
abolished the inhibitory effect of adrenomedullin on CCK-stimulated
amylase secretion. These results indicate that adrenomedullin inhibits
stimulated amylase secretion by reducing the calcium sensitivity of the
exocytotic machinery of the pancreatic acini. A pertussis
toxin-sensitive GTP-binding protein(s) is also involved in this
mechanism.
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Introduction
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ADRENOMEDULLIN is a novel hypotensive
peptide, first purified from a human adrenal pheochromocytoma (1). It
is expressed mainly in cardiovascular tissue, including heart, aorta,
and kidney, as well as adrenal medulla (2). When human adrenomedullin
was administered iv into rats, it caused a rapid and marked reduction
of blood pressure, along with the decrease in peripheral vascular
resistance. Thus, adrenomedullin is assumed to be an important hormone,
participating in the regulation of cardiovascular function (3, 4). In
addition to its cardiovascular action, various extravascular actions of
adrenomedullin have recently been described. Adrenomedullin has been
shown to modify the proliferation of mesangial cells (5) and
fibroblasts (6). Adrenomedullin has also been shown to modulate
regulated secretion from various organs, such as adrenal gland (7),
pituitary gland (8), and stomach (9). More recently, immunoreactive
adrenomedullin has been localized to various extracardiovascular organs
(10), including PP cells of pancreatic islets of Langerhans (11). In PP
cells, moreover, adrenomedullin has been revealed to be colocalized
with PP in secretory granules by immunoelectron microscopy. In
addition, whereas exogenous adrenomedullin inhibited insulin secretion
from isolated rat pancreatic islet, the monoclonal antiadrenomedullin
antibody (which neutralized adrenomedullin bioactivity) was able to
increase insulin release from isolated pancreatic islets, in the
absence of exogenous adrenomedullin (11). These data suggest the
secretion of adrenomedullin from PP cells of pancreatic islets and the
regulation of insulin secretion by adrenomedullin in a paracrine
manner.
The pancreas consists of exocrine acini and endocrine islets. Between
the two constituents, there exists the pancreatic islet-acinar axis.
Namely, because all vascular flow is directed from the pancreatic
islets to the acini, various islet hormones are assumed to modulate
acinar secretion in a paracrine manner (12). For example, insulin from
islet B-cells has been shown to enhance cholecystokinin
(CCK)-stimulated amylase release from pancreatic acini (13). In
contrast, SRIF from islet D-cells has been shown to inhibit pancreatic
acinar secretion triggered by the combination of CCK and secretin (14).
Given that adrenomedullin is present in secretory granules of
pancreatic islet PP-cells and might be released from them, we
hypothesize that adrenomedullin may have an effect on pancreatic acinar
exocytosis. Therefore, the present study was conducted to study the
action of adrenomedullin on the regulated exocytosis of pancreatic
acini and to elucidate its mechanism. To this end, we first determined
the presence of adrenomedullin receptor on pancreatic acini. We next
studied the effect of adrenomedullin on CCK-stimulated amylase release
from pancreatic acini. Experiments are then expanded using
[125I]CCK binding assay, intracellular free calcium and
cAMP measurements, and streptolysin-O permeabilized acinar technique to
gain insights into the ligand-receptor system and the intracellular
events influenced by adrenomedullin. In addition, we determined the
role of a pertussis toxin (PTX)-sensitive GTP-binding protein (G
protein) in the action of adrenomedullin. Our results indicate that
adrenomedullin inhibits regulated exocytosis of pancreatic acini by
reducing the calcium sensitivity of the exocytotic machinery via its
specific receptor, and that a PTX-sensitive G protein is also involved
in this regulation.
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Materials and Methods
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Reagents
Collagenase (type CLISPA) was purchased from Worthington Biochemical Corp. (Freehold, NJ). Soybean trypsin inhibitor
(SBTI), BSA, 3-isobutyl-1-methyl-xanthine (IBMX), A23187, and ATP
(Mg-ATP) were purchased from Sigma Chemical Co. (St.
Louis, MO). Rat adrenomedullin, CCK octapeptide (CCK-8, sulfate), rat
calcitonin gene-related peptide (CGRP), human secretin, and SRIF
(SS-14) were purchased from Peptide Institute (Osaka,
Japan). PTX was purchased from Seikagaku Corp. Kogyo
(Tokyo, Japan), [125I]adrenomedullin from Amersham
(Tokyo, Japan), [125I]CCK-8 (sulfate) from DuPont
(Boston, MA), streptolysin-O from Murex (Dartford, England), and Fura-2
and pluronic F-127 from Molecular Probes, Inc. (Eugene,
OR).
Preparation of isolated pancreatic acini
Pancreatic acini were prepared from the pancreata of 170- to
200-g male Wistar rats, by the collagenase digestion method, as
previously described (15). Isolated acini were suspended in
HEPES-buffered Ringers solution (HRB) containing 10 mM
HEPES/NaOH (pH 7.4), 118 mM NaCl, 4.7 mM KCl, 1
mM Na2HPO4, 1.13 mM
MgCl2, 5.5 mM D-glucose, 2.5 mM
CaCl2, Eagles MEM amino acid supplement, 2 mM
L-glutamine, 0.2% BSA, and 0.01% SBTI. After a 30-min
recovery incubation, the following experiments were carried out.
Receptor binding assays
For the adrenomedullin receptor binding assay, isolated intact
acini were incubated for 5 min at 30 C in HRB containing 1 kBq rat
[125I]adrenomedullin and various concentrations of
unlabeled adrenomedullin or CGRP. Bound and free
[125I]adrenomedullin were separated by
microcentrifugation, followed by washing three times with 1 ml cold
PBS. The binding of [125I]adrenomedullin to pancreatic
acini was measured by liquid scintillation counting. Nonspecific
binding was determined in the presence of 1 µM unlabeled
adrenomedullin. Specific binding was defined as total binding minus
nonspecific binding (nonspecific binding: 22.5 ± 3.5% of total
binding). Binding data were analyzed by nonlinear regression using the
Stat View program (Abacus Concepts, Berkeley, CA) to calculate the
dissociation constant and the maximum concentration of binding. The CCK
receptor binding assay was carried out using [125I]CCK
and various concentrations of unlabeled adrenomedullin or CCK by the
same method as described above.
Measurement of amylase release from intact acini
Isolated acini were suspended in HRB and incubated in a shaking
water bath at 37 C for 30 min with 100 pM CCK or 1
µM calcium ionophore A23187, in the presence or absence
of adrenomedullin. Amylase released into the supernatant during
incubation was quantified using the Phadebas Amylase Test (Dai-ichi
Pure Chemicals, Tokyo, Japan) and expressed as the percent of total
amylase in the acini at the beginning of the incubation.
Measurement of intracellular cAMP concentration
For the measurement of cAMP concentration in pancreatic acini,
enzymatically isolated acini were suspended in HRB and incubated with
the appropriate agents for 30 min at 37 C in the presence of 0.1
mM IBMX. The incubated acini were spun down and lysed in
200 µl 0.25% dodecyltrimethylammonium bromide, followed by
microcentrifugation at top speed for 10 sec. Using 100-µl samples of
the supernatant, cAMP assay was carried out with cAMP assay kit
(Amersham, Buckinghamshire, UK), according to the protocol of the
manufacturer.
Measurement of intracellular free calcium concentration
([Ca2+]i)
Intact isolated acini were incubated with 2 µM
fura-2 AM and 0.04% F-127 at ambient temperature for 30 min and then
washed and resuspended in HRB. A 2-ml aliquot of fura-2-loaded acini
was used for the determination of [Ca2+]i
using a digital imaging system (Hitachi F-2000, Hitachi, Tokyo,
Japan). The sample was excited at 340 nm and 380 nm, and
emission was monitored at 510 nm. Because it is impossible to calculate
absolute [Ca2+]i from experiments performed
in this manner, the ratio Em 340 nm/Em 380 nm was used as a relative
index of [Ca2+]i instead. The
[Ca2+]i in acini exposed to 100
pM CCK was compared in the presence and absence of 10
nM adrenomedullin.
Measurement of amylase release from streptolysin-O permeabilized
acini
Isolated intact acini were suspended in permeabilization buffer
consisting of 20 mM piperazine diethanesulfonic acid (pH
7.0), 140 mM potassium glutamate, 0.91 mM
MgCl2, 5 mM EGTA, 1 mg/ml BSA, 0.1 mg/ml SBTI,
1 mM Mg-ATP, and 0.5 IU/ml streptolysin-O, and aliquoted
into 500-µl samples. In the presence or absence of 10 nM
adrenomedullin, amylase release was initiated by adding 500 µl
permeabilization buffer supplemented with CaCl2, to give
various concentrations of free Ca2+, which were calculated
using a computer program as described previously (15). Amylase release
was quantified by the same method as described above.
Preparation of PTX-treated pancreatic acini
PTX-treated acini were obtained by injecting 50 µg of the
toxin into the peritoneal cavity of intact rats, as previously
described (16), where we have shown that PTX well catalyzed
ADP-ribosylation of G protein in pancreatic acini prepared by this
method. Seventy-two hours after the toxin injection, pancreatic acini
were isolated, and 100 pM CCK-stimulated amylase release,
in the presence of various concentrations of adrenomedullin, was
examined as described above. Because it has been previously
demonstrated that the PTX-pretreatment of pancreatic acini performed in
this manner does not affect the CCK-stimulated intracellular
signal-transducing system (including intracellular calcium mobilization
and inositol phosphate accumulation) (17) or does not alter stimulated
or basal amylase secretion from pancreatic acini (16), the effect of
PTX pretreatment on adrenomedullin inhibitory action on CCK-stimulated
amylase secretion can be examined in this system.
Statistical analysis
Statistical analysis was performed using the two-way layout
ANOVA, unless otherwise indicated. P < 0.05 was
considered sig- nificant.
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Results
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Adrenomedullin receptor on rat pancreatic acini
We first examined whether a specific adrenomedullin receptor is
present on rat pancreatic acini. Because adrenomedullin has been shown
to share a common receptor with CGRP in some cell systems
(18, 19, 20), competitive binding assays were carried out with CGRP, as
well as adrenomedullin. Competitive binding curves of
[125I]adrenomedullin to isolated acini, in the
presence of unlabeled rat adrenomedullin or rat CGRP, are shown in Fig. 1
. Binding of
[125I]adrenomedullin to isolated acini was inhibited by
unlabeled adrenomedullin but not by CGRP. These results demonstrate
that specific adrenomedullin receptor is present on pancreatic acini.
The dissociation constant and the maximum concentration of binding
values of the receptor were 38 pM and 10 fmol/mg protein,
respectively.

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Figure 1. Competition curves of
[125I]adrenomedullin binding to rat pancreatic acini.
Acini were incubated at 30 C for 5 min with various concentrations of
unlabeled adrenomedullin ( ) or unlabeled CGRP (). Values are the
means ± SE for three independent experiments using
separate acinar preparations obtained from three rats, with assays
performed in triplicate.
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Inhibitory effect of adrenomedullin on CCK-stimulated amylase
release from pancreatic acini
To examine whether adrenomedullin has an effect on regulated
exocytosis of exocrine pancreas, we investigated its effect on
CCK-stimulated amylase release from pancreatic acini. As shown in Fig. 2
, adrenomedullin inhibited 100
pM CCK-stimulated amylase release in a dose-dependent
manner. Maximum inhibition was 52%, observed at 10 nM
adrenomedullin. The half-maximum inhibition was observed at 1.1
pM adrenomedullin. However, adrenomedullin did not inhibit
or enhance basal amylase secretion, even at 10 nM. These
results demonstrate that adrenomedullin specifically attenuates
stimulated amylase release from pancreatic acini.

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Figure 2. Effect of adrenomedullin on CCK-stimulated amylase
secretion. Acini were incubated for 30 min with various concentrations
of adrenomedullin in the presence ( ) and absence () of 100
pM CCK. Values are the means ± SE for
three independent experiments using separate acinar preparations
obtained from three rats, with assays performed in triplicate. *,
P < 0.01, compared with CCK-stimulated amylase
secretion, in the absence of adrenomedullin.
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Effect of adrenomedullin on [125I]CCK binding
to isolated acini
In an attempt to elucidate the point of action of the
adrenomedullin inhibitory effect on stimulated amylase release, we
first examined the effect of adrenomedullin on the binding rate of
[125I]CCK to isolated acini. As shown in Fig. 3
, whereas unlabeled CCK inhibited the
binding of [125I]CCK to CCK receptor, unlabeled
adrenomedullin did not affect the binding of [125I]CCK to
CCK receptor. These results indicate that adrenomedullin is not a CCK
receptor antagonist and that its inhibitory effect on amylase secretion
acts at a point distal to the ligand-receptor binding of CCK.

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Figure 3. Effect of adrenomedullin on
[125I]CCK binding to rat pancreatic acini. Acini were
incubated at 30 C for 5 min with various concentrations of unlabeled
adrenomedullin ( ) or unlabeled CCK (). Values are the means
± SE for three independent experiments using separate
acinar preparations obtained from three rats, with assays performed in
triplicate.
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Effect of adrenomedullin on intracellular cAMP concentration in
pancreatic acinar cells
In other tissues, adrenomedullin has been shown to exert its
physiological effect by modulating intracellular cAMP concentration in
target cells (5, 6, 18). To assess the involvement of the intracellular
cAMP mobilizing system in the inhibitory action of adrenomedullin in
regulated exocytosis of pancreatic acini, we examined the effect of
adrenomedullin on intracellular cAMP concentration in pancreatic acinar
cells. We used secretin and SRIF as positive controls of intracellular
cAMP-mobilizing hormones (14). As shown in Table 1
, although secretin sufficiently
increased intracellular cAMP concentration and SRIF reduced the
secretin-enhanced cAMP concentration in pancreatic acinar cells,
adrenomedullin did not alter the intracellular cAMP concentration in
the presence or absence of CCK and did not reduce the secretin-enhanced
cAMP concentration in pancreatic acinar cells. These data indicate that
adrenomedullin inhibits stimulated-amylase secretion by mechanisms
other than intracellular cAMP mobilization.
Effect of adrenomedullin on [Ca2+]i
Increased by CCK
To further characterize the point of the action of adrenomedullin
distal to ligand-receptor binding of CCK, we examined the effect of
adrenomedullin on the CCK-induced increase in
[Ca2+]i. As shown in Fig. 4
, 100 pM CCK caused the
[Ca2+]i to increase in isolated pancreatic
acini (A), however, 10 nM adrenomedullin failed to reduce
this CCK-induced increase in [Ca2+]i (B).
In addition, 10 nM adrenomedullin did not affect the
[Ca2+]i in pancreatic acini at resting state
(B). These data imply that the inhibitory effect of adrenomedullin on
amylase secretion acts at a point distal to the receptor-mediated
intracellular calcium mobilization.

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Figure 4. Effect of adrenomedullin on
[Ca2+]i increase induced by CCK.
[Ca2+]i was measured using fura-2 loaded
pancreatic acini. Values are the ratio Em 340 nm/Em 380 nm. A,
Pancreatic acini were stimulated with 100 pM CCK; B,
pancreatic acini were treated with 10 nM adrenomedullin, 1
min before the stimulation by 100 pM CCK. The results are
representative of four independent experiments using four separate
acinar preparations obtained from four rats, with at least three
calcium determinations.
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Inhibitory effect of adrenomedullin on amylase secretion induced by
calcium ionophore A23187
To demonstrate directly that adrenomedullin inhibits stimulated
amylase secretion at a point distal to the receptor-mediated
intracellular calcium mobilizing system, we examined the effect of
adrenomedullin on calcium ionophore A23187-stimulated amylase release.
Because A23187 raises intracellular calcium by bypassing the
receptor-mediated second-messenger generation, we can assess the effect
of adrenomedullin on events distal to the intracellular calcium
mobilization. As shown in Fig. 5
, adrenomedullin inhibited amylase secretion stimulated by 1
µM A23187 in a dose-dependent manner. Maximum inhibition
was observed at 100 nM adrenomedullin. This result suggests
that adrenomedullin inhibits stimulated amylase secretion from
pancreatic acini by acting at a step that comes after intracellular
calcium mobilization.

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Figure 5. Effect of adrenomedullin on A23187-stimulated
amylase secretion. Acini were incubated for 30 min with 1
µM A23187 and various concentrations of adrenomedullin.
Values are the means ± SE for four independent
experiments using separate acinar preparations obtained from four rats,
with assays in triplicate. *, P < 0.01; **,
P < 0.05, compared with A23187-stimulated amylase
release in the absence of adrenomedullin. Basal amylase release was
2.9 ± 0.2% of total.
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Inhibitory effect of adrenomedullin on amylase release from
streptolysin-O permeabilized acini
To further characterize the inhibitory mechanism of
adrenomedullin, we measured amylase secretion from permeabilized acini.
Figure 6
shows that amylase secretion, in
the absence of adrenomedullin, was stimulated by calcium in a
dose-dependent manner and that maximum amylase release was observed at
1 µM Ca2+. In the presence of adrenomedullin,
however, calcium-induced amylase secretion decreased at all calcium
concentrations. Adrenomedullin reduces amylase secretion by shifting
the dose-response curve for calcium sensitivity to the right. These
results indicate that adrenomedullin inhibits stimulated amylase
secretion by reducing intracellular calcium sensitivity.

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Figure 6. Effect of adrenomedullin on calcium-stimulated
amylase secretion from streptolysin-O permeabilized acini.
Permeabilized acini were incubated for 5 min with various
concentrations of free calcium in the presence ( ) and absence ()
of 10 nM adrenomedullin. The result is representative of
four independent experiments using separate acinar preparation obtained
from four rats, with assays in triplicate.
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Effect of PTX on adrenomedullin-mediated inhibition of amylase
secretion
To determine whether a G protein(s) is involved in the
adrenomedullin-mediated inhibition of amylase secretion from pancreatic
acini, we investigated the effect of PTX on such inhibition. When
pancreatic acini were pretreated with PTX, the inhibitory effect of
adrenomedullin on CCK-stimulated amylase secretion was completely
abolished (Fig. 7
). This result
demonstrates that the inhibitory action of adrenomedullin on amylase
secretion from pancreatic acini is mediated by a PTX-sensitive G
protein(s).

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Figure 7. Effect of adrenomedullin on CCK-stimulated amylase
secretion from PTX-treated acini. Acini were prepared from rats
pretreated with PTX. Acini were incubated for 30 min with 100
pM CCK and various concentrations of adrenomedullin. Values
are the means ± SE for three independent experiments
using separate acinar preparations obtained from three PTX-pretreated
rats, with assays performed in triplicate. Basal amylase release from
PTX-pretreated acini was 3.1 ± 0.3% of total.
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Discussion
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Although adrenomedullin has been localized to PP cells of
pancreatic islet (11) and is supposed to have some action on pancreatic
acini, based on pancreatic islet-acinar axis theory, an effect of
adrenomedullin on pancreatic acinar function has not been previously
demonstrated. In this study, we have described the action of
adrenomedullin on regulated exocytosis of pancreatic acini. First, we
showed that an adrenomedullin-specific receptor is present on
pancreatic acini. We next showed that adrenomedullin attenuated CCK-
stimulated amylase release from pancreatic acini without affecting
CCK binding to its receptor, intracellular cAMP concentration, or
intracellular free calcium concentration. We further demonstrated that
adrenomedullin inhibits A23187-stimulated amylase release and shifted
the calcium dose-response curve of permeabilized acini to the right,
which suggests that adrenomedullin inhibits stimulated-amylase
secretion by reducing the calcium sensitivity of exocytotic machinery
of pancreatic acini. We also demonstrated that a pertussis-toxin
sensitive G protein(s) is involved in the mechanism of adrenomedullin
inhibition of amylase secretion from pancreatic acini.
To date, only two peptides have been shown to inhibit stimulated
amylase secretion in vitro: SRIF and epidermal growth factor
(EGF). SRIF attenuates cAMP-enhanced amylase secretion by inhibiting
the cAMP-dependent signaling pathway in pancreatic acini (14, 16),
whereas EGF inhibits amylase secretion stimulated by
calcium-mobilizing secretagogues by inhibiting
secretagogue-induced phospholipase C activation (21, 22). Although
adrenomedullin also inhibits amylase secretion induced by the
calcium-mobilizing secretagogue CCK, the inhibitory mechanism is
distinct from that of EGF. Because adrenomedullin does not reduce the
CCK-induced increase in intracellular free calcium concentration, it is
unlikely that adrenomedullin inhibits phospholipase C activation. Thus,
adrenomedullin is a potent inhibitor of calcium-stimulated pancreatic
acinar exocytosis, with the novel mechanism that attenuating the
calcium sensitivity of exocytotic machinery.
Adrenomedullin has previously been reported to inhibit stimulated
exocytosis in various tissues. For example, adrenomedullin inhibited
CRH-stimulated ACTH secretion from rat anterior pituitary cells (8) and
glucose-stimulated insulin secretion from pancreatic islets of
Langerhans (11). However, the intracellular mechanism of these
adrenomedullin inhibitory actions had not been addressed. The results
of this study, then, expand these previous studies by showing the
mechanism of adrenomedullin inhibitory action. Moreover, the inhibitory
mechanism of adrenomedullin that we presented here is unique.
Adrenomedullin has been demonstrated to show its action on various
cellular functions by enhancing the intracellular cAMP production of
target cells through both receptors specific to adrenomedullin and
those shared with CGRP (23, 24). Recently, an adrenomedullin-specific
receptor has been cloned from rat lung and shown to mediate
cAMP-dependent signaling (25). Although adrenomedullin binds to a
specific receptor in pancreatic acini, as shown in Fig. 1
, we assume
that the adrenomedullin receptor on pancreatic acini might be distinct
from the cloned one because of the lack of mediating intracellular cAMP
production. In addition to intracellular cAMP production,
adrenomedullin has been revealed to stimulate intracellular free
calcium mobilization through its specific receptor in endothelial cells
(24). In contrast, however, adrenomedullin did not mobilize
intracellular free calcium in pancreatic acini, as shown in Fig. 4
.
Thus, the adrenomedullin receptor on pancreatic acini might also be
distinct from that on endothelial cells. Consistent with our
suggestion, it has been recently reported that multiple isoforms of
adrenomedullin-specific receptor may exist (20). Therefore, it is
reasonable to speculate that the mechanism of the inhibitory action of
adrenomedullin on stimulated amylase secretion proposed here might
involve signal transduction via a adrenomedullin-specific receptor
distinct from those mediate cAMP production and intracellular
free calcium mobilization in other cell systems.
A new observation made in this study is that the inhibitory effect of
adrenomedullin in pancreas via the specific receptor is mediated by a
PTX-sensitive G protein. Previous studies have shown that a cholera
toxin-sensitive G protein is involved in the adrenomedullin signaling
pathway (24). From our observation, however, we cannot determine
whether or not the PTX-sensitive G protein is coupled to the
adrenomedullin receptor on pancreatic acini. Indeed, there still
remains the possibility that the PTX-sensitive G protein involved in
the adrenomedullin signaling pathway in pancreas might be present on an
intracellular organelle, because multiple heterotrimeric G proteins
have been localized to various intracellular organelles, such as
zymogen granules and the trans-golgi network in pancreatic
acinar cells (26, 27, 28). In any case, cloning of the adrenomedullin
receptor on pancreatic acinar cells is necessary for a further
understanding of the mechanism of the inhibitory action of
adrenomedullin on the regulated exocytosis of pancreatic acini.
In summary, we have elucidated an inhibitory action of adrenomedullin
on regulated exocytosis of exocrine pancreas. The mechanism of the
inhibition operates distal to the intracellular calcium mobilization,
which modulates the sensitivity of exocytotic machinery to cytosolic
free calcium via an adrenomedullin-specific receptor and a
PTX-sensitive G protein. For further understanding of the
physiological action of adrenomedullin on exocrine pancreas, in
vivo studies are necessary to investigate the effect of
adrenomedullin on amylase secretion and the regulation of
adrenomedullin secretion from pancreatic islets.
Received June 29, 1998.
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